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CAT verslag (9,4) acute zorg $13.40
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CAT verslag (9,4) acute zorg

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CAT verslag met acute zorg onderwerp, cijfer 9,4.

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  • October 24, 2023
  • 17
  • 2023/2024
  • Other
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1  review

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By: alexpater1 • 1 month ago

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Critically Appraised Topic
Mechanische reanimatie
vs.
manuele reanimatie




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Versie 1

,Inhoudsopgave
Inhoudsopgave....................................................................................................................... 1
Inhoudsopgave....................................................................................................................... 1
Inleiding.................................................................................................................................. 2
Inleiding.................................................................................................................................. 2
Signalering............................................................................................................................. 3
Signalering............................................................................................................................. 3
Methode................................................................................................................................. 3
Methode................................................................................................................................. 3
In- en exclusie criteria........................................................................................................4
In- en exclusie criteria........................................................................................................4
Resultaten literatuur...............................................................................................................5
Resultaten literatuur...............................................................................................................5
Beoordeling literatuur.........................................................................................................6
Beoordeling literatuur.........................................................................................................6
Resultaten artikelen...........................................................................................................7
Resultaten artikelen...........................................................................................................7
Conclusies en aanbeveling.....................................................................................................8
Conclusies en aanbeveling.....................................................................................................8
Referenties............................................................................................................................. 9
Referenties............................................................................................................................. 9
Bijlagen................................................................................................................................. 10
Bijlagen................................................................................................................................. 10
Bijlage 1 zoekstring Pubmed............................................................................................10
Bijlage 1 zoekstring Pubmed............................................................................................10
Bijlage 2 zoekstring Cochrane.........................................................................................10
Bijlage 2 zoekstring Cochrane.........................................................................................10
Bijlage 3 PRISMA checklist 1...........................................................................................11
Bijlage 3 PRISMA checklist 1...........................................................................................11
Bijlage 4 PRISMA checklist 2...........................................................................................12
Bijlage 4 PRISMA checklist 2...........................................................................................12
Bijlage 5 PRISMA checklist 3...........................................................................................14
Bijlage 5 PRISMA checklist 3...........................................................................................14
Bijlage 6 APA checklist....................................................................................................15
Bijlage 6 APA checklist....................................................................................................15




1

, Inleiding
Een circulatiestilstand buiten het ziekenhuis is één van de belangrijkste doodsoorzaken van
de geïndustrialiseerde landen (Hoogendijk-Buddingh et al., 2018). In Nederland zijn er 8.000
reanimaties per jaar buiten het ziekenhuis, waarbij de overlevingskans ongeveer 23% is
(Hartstichting, 2021).


Ambulancemedewerkers worden onder andere opgeleid om prehospitale reanimaties uit te
voeren. Een belangrijk onderdeel van de reanimatie zijn de 30 thoraxcompressies. De
constante en efficiënte thoraxcompressies zijn nodig om de circulatie voort te zetten.
Dit wordt standaard met de hand begonnen, oftewel manuele reanimatie.


Na de opkomst van mechanische reanimatie, zoals de LUCAS®, is het gebruik ervan in de
acute zorg de laatste decennia toegenomen. Het doel hiervan is om de manuele
thoraxcompressies over te nemen. LUCAS® adverteert dat door het gebruik ervan de
interrupties van thoraxcompressies worden geminimaliseerd en dat mechanische
thoraxcompressies effectiever zijn dan manuele.


In het Landelijke Protocol Ambulancezorg versie 8.1 (2016), wordt beschreven wanneer de
thoraxcompressies uitgevoerd moeten worden. Echter wordt er niet beschreven hoe dit moet
worden uitgevoerd. Hierdoor kan twijfel ontstaan onder ambulancemedewerkers welke
manier het meest effectief is en welke werkwijze ingezet moet worden.


In dit verslag wordt er onderzoek gedaan naar het verschil tussen mechanische reanimatie
en manuele reanimatie, op basis van de frequentie van het optreden van return of
spontaneous circulation (ROSC). Het doel hiervan is om (toekomstige)




2

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